Director, Denial Management & Prevention

New
J
JobgetherHealthcare revenue cycle
Based in the United StatesFull-TimeDirector
Salary not disclosed
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Job Details

Required Skills
Stakeholder managementProcess improvement

Requirements

  • Leadership experience in healthcare revenue cycle management, denial management, or a related operational function.
  • Understanding of healthcare claims processing, reimbursement practices, and common causes of claim denials.
  • Experience analyzing operational data, identifying trends, and developing strategies to improve performance.
  • Strategic planning, problem-solving, and process improvement capabilities.
  • Ability to lead teams, establish priorities, and promote accountability.
  • Communication and stakeholder management skills, including the ability to collaborate across multiple departments.
  • Ability to manage competing priorities and support organizational objectives in a complex healthcare environment.

Responsibilities

  • Develop and guide strategies to address healthcare claim denials and prevent avoidable denials.
  • Identify opportunities to improve denial management workflows, operational efficiency, and reimbursement outcomes.
  • Support analysis of denial trends and potential root causes to inform corrective actions and process improvements.
  • Collaborate with operational, clinical, financial, and administrative stakeholders to strengthen denial prevention practices.
  • Promote consistent processes, accountability, and performance monitoring across denial management activities.
  • Support continuous improvement initiatives that contribute to financial performance and effective revenue cycle operations.
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